Individual provider Active NPI

Kara Elizabeth Neunzig, PSY.D.

  • Clinical Psychologist
  • Brewster, NY
National Provider Identifier
1427374909
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
014213-1 Issued in NY
Practice address
1620 Route 22
Brewster, NY 06784
Phone
(845) 278-2500
Fax
(845) 278-2500
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 014213-1 NY Primary

Addresses

Primary practice location

1620 Route 22
Brewster, NY 06784

Mailing address

1620 Route 22
Brewster, NY 10509-4051
Phone (845) 278-2500

Other identifiers 1

IdentifierTypeStateIssuer
00769457MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313001979 NY Order and Referring Only - Clinical Psychologist 2668955063

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Route 39 N
Sherman, CT 06784-1119

1281 Route 311
Suite B104
Patterson, NY 12563-2829
Phone (203) 470-3002

9 Orchard Hills Apts
Highland, NY 12528-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014213NYMDMental Health Counselor
014213-1NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1427374909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ROUTE 22",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094051",
            "telephone_number": "845-278-2500",
            "fax_number": "845-278-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ROUTE 22",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "06784",
            "telephone_number": "845-278-2500",
            "fax_number": "845-278-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUNZIG",
        "first_name": "KARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014213-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00769457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.